Provider Demographics
NPI:1255748968
Name:BANKS, CAMERON M (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:M
Last Name:BANKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9602 WOODBAY DR.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626
Mailing Address - Country:US
Mailing Address - Phone:813-528-1301
Mailing Address - Fax:
Practice Address - Street 1:8730 FOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2802
Practice Address - Country:US
Practice Address - Phone:813-885-6001
Practice Address - Fax:813-885-6874
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11409111NX0800X
GACHIR009340111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic